Labio-glosso-pharyngo-laryngeal paralysis caused by two brain lesions: Cortical and subcortical

Marchiori, G. C.; Trincia, G; Cusumano, S.

doi:10.1007/bf02335783

Cited by 5 publications

(1 citation statement)

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“…Etiologically, the great majority of instances of the syndrome are multiple strokes, either thrombotic or embolic [15]. Encephalitis, trauma, tumors, developmental perisylvian dysplasia, vasculitis, and degenerative disease are less common causes of this syndrome [3,6,7,9,14,15,16,17,19,21,23]. Recently, the opercular syndrome has been reported with bilateral toxoplasmosis lesions in a patient with AIDS; the authors point out that the frequent occurrence of multiple lesions in AIDS patients may make this a common finding [8].…”

Section: Discussionmentioning

confidence: 99%

The Opercular‐Subopercular Syndrome: Four Cases with Review of the Literature

Bakar

Kirshner

Niaz

1998

Behavioural Neurology

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We present four cases of the 'opercular syndrome' of volitional paresis of the facial, lingual, and laryngeal muscles (bilateral facio-glosso-pharyngo-masticatory paresis). Case histories and CT brain images are presented, along with a review of the literature concerning this long-recognized but little-known syndrome. The neuroanatomic basis of the syndrome classically involves bilateral lesions of the frontal operculum. We propose, on the basis of our cases and others, that the identical syndrome can arise from lesions of the corticobulbar tracts, not involving the cortical operculum. Our cases included one with bilateral subcortical lesions, one with a unilateral left opercular lesion and a possible, non-visualized right hemisphere lesion, one with unilateral cortical and unilateral subcortical pathology, and one with bilateral cortical lesions. These lesion localizations suggest that any combination of cortical or subcortical lesions of the operculum or its connections on both sides of the brain can produce a syndrome indistinguishable from the classical opercular syndrome. We propose the new term 'opercular-subopercular syndrome' to encompass cases with predominantly or partially subcortical lesions.

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Section: Discussionmentioning

confidence: 99%

The Opercular‐Subopercular Syndrome: Four Cases with Review of the Literature

Bakar

Kirshner

Niaz

1998

Behavioural Neurology

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Lokalisation supranukleärer und intraaxialer peripherer Fazialisparesen

Hopf

1995

Topographische Diagnostik Des Gehirns

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Anterior opercular cortex lesions cause dissociated lower cranial nerve palsies and anarthria but no aphasia: Foix-Chavany-Marie syndrome and ?automatic voluntary dissociation? revisited

Weller

1993

J Neurol

132

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Anarthria and bilateral central facio-linguovelo-pharyngeo-masticatory paralysis with "automatic voluntary dissociation" are the clinical hallmarks of Foix-Chavany-Marie syndrome (FCMS), the corticosubcortial type of suprabulbar palsy. A literature review of 62 FCMS reports allowed the differentiation of five clinical types of FCMS: (a) the classical and most common form associated with cerebrovascular disease, (b) a subacute form caused by central nervous system infections, (c) a developmental form probably most often related to neuronal migration disorders, (d) a reversible form in children with epilepsy, and (e) a rare type associated with neurodegenerative disorders. Bilateral opercular lesions were confirmed in 31 of 41 patients who had CT or MRI performed, and by necropsy in 7 of 10 patients. FCMS could be attributed to unilateral lesions in 2 patients. The typical presentation and differential diagnosis of FCMS provide important clues to lesion localization in clinical neurology. FCMS is a paretic and not an apraxic disorder and is not characterized by language disturbances. Its clinical features prove divergent corticobulbar pathways for voluntary and automatic motor control of craniofacial muscles. Precise clinico-neuroradiological correlations should facilitate the identification of the structural substrate of "automatic voluntary dissociation" in FCMS.

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Labio-glosso-pharyngo-laryngeal paralysis caused by two brain lesions: Cortical and subcortical

Cited by 5 publications

References 1 publication

The Opercular‐Subopercular Syndrome: Four Cases with Review of the Literature

The Opercular‐Subopercular Syndrome: Four Cases with Review of the Literature

Lokalisation supranukleärer und intraaxialer peripherer Fazialisparesen

Anterior opercular cortex lesions cause dissociated lower cranial nerve palsies and anarthria but no aphasia: Foix-Chavany-Marie syndrome and ?automatic voluntary dissociation? revisited

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